Articles Tagged With: contract
-
Growing Role for Patient Access: Payer Contract Negotiations
Including patient access in the process is part of acknowledging the ever-expanding importance of front end participation in the revenue cycle.
-
If Healthcare Services Change, So Will the Costs
Patients need to be informed that if their services change for any reason, then their out-of-pocket costs probably will change too.
-
Know the Payer Rules to Maximize Reimbursement
In today’s world, it is imperative for the case management director to make sure the case management staff receives continuous training and education around payer rules and regulations, and the financial implications of what they do, says Mindy Owen, RN, CRRN, CCM, principal owner of Phoenix Healthcare Associates in Coral Springs, FL, and senior consultant for the Center for Case Management.
-
Did payer deny claim? Look closely to see if contract allows it
Many patient access leaders are seeing a sharp increase in claims denials, primarily due to more numerous and stringent payer requirements.